Individual
MARCOS ANTEZANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2387
(206) 860-2219
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00042205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8355919
—
WA
Enumeration date
02/23/2006
Last updated
04/17/2026
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